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Will MDMA-assisted psychotherapy become a breakthrough in treatment-resistant post-traumatic stress disorder? A critical narrative review.

Sandra Szafoni, Gniewko Więckiewicz, Robert Pudło, Piotr Gorczyca, Magdalena Piegza

Psychiatria Polska August 31, 2022 DOI: 10.12740/PP/OnlineFirst/133919 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Intervention MDMA-assisted psychotherapy
Topics MDMA PTSD Psychedelic-assisted therapy
Keywords Psychotherapy
Citations 9
Key findings MDMA-assisted psychotherapy for PTSD has received FDA breakthrough therapy designation and could be approved by 2022 if phase 3 trials succeed.

Abstract

Post-traumatic stress disorder (PTSD) is a common mental health condition that begins after exposure to a traumatic event. Despite recommended various therapeutic approaches, including both pharmacotherapy and psychotherapy, treatment is not as effective as expected. Over recent years the pharmaceutical industry has not been able to offer a new approach, founded on multiple mechanisms of action. That is why a part of researchers focused on psychoactive substances synthesized years ago and then banned. These days MDMA-assisted psychotherapy for the treatment of PTSD clinical trials are conducted, and due to previous results, the Food and Drug Administration (FDA) granted a breakthrough therapy designation. In this article, we present the mechanism of actions, the therapeutic rationale, applied psychotherapeutic methods, and potential dangers. If ongoing phase 3 studies are completed and clinical efficacy criteria are achieved, the FDA could approve the treatment as early as 2022.

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